National Provider Identifier

Jagat S Mehta MD PC

Jagat S Mehta MD PC is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 429-6550.

NPI 1356643779Rochester, NYInternal Medicine Physician

Profile Overview

NPI
1356643779
Provider Type
Organization
Primary Specialty
Internal Medicine Physician
Enumeration Date
November 18, 2010
Last Updated
November 18, 2010

Practice Location

  • 2211 Lyell Ave
  • Rochester, NY 14606-5743

Phone: (585) 429-6550

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1356643779
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Jagat S Mehta MD PC
Mailing Street Address
2211 Lyell Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14606-5743
Mailing Country
US
Mailing Phone
(585) 429-6550
Practice Street Address
2211 Lyell Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14606-5743
Practice Country
US
Practice Phone
(585) 429-6550
Enumeration Date
November 18, 2010
Last Updated
November 18, 2010
Authorized Official Last Name
Mehta
Authorized Official First Name
Jagat
Authorized Official Middle Name
S
Authorized Official Title
President
Authorized Official Phone
(585) 429-6550
Organization Subpart
No
Authorized Official Name Prefix Text
Dr.
Authorized Official Credential Text
MD
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)